Organization Active NPI

Spine in Line Chiropractic and Rehabilitation, PC

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1033547179
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12361 Issued in TX
Legal business name
SPINE IN LINE CHIROPRACTIC AND REHABILITATION, PC
Practice address
3309 Forest Creek Dr Unit 101
Round Rock, TX 78664-6168
Phone
(512) 310-7177
NPI assigned
Oct 29, 2013
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dean Andrew GeskeNPI 1699795187
Title
Owner
Phone
(512) 310-7177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12361 TX Primary

Addresses

Primary practice location

3309 Forest Creek Dr Unit 101
Round Rock, TX 78664-6168

Mailing address

3309 Forest Creek Dr Unit 101
Round Rock, TX 78664-6168
Phone (512) 310-7177

Other names 1

  • Round Rock Chiropractic and Rehabilitation, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140326000296 TX Part B Supplier - Clinic/Group Practice 0840421392 Receives reassigned benefits from 1 practitioner
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

3309 Forest Creek Dr
Unit 101
Round Rock, TX 78664
Phone (512) 310-7177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1033547179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 FOREST CREEK DR UNIT 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646168",
            "telephone_number": "512-310-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 FOREST CREEK DR UNIT 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646168",
            "telephone_number": "512-310-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE IN LINE CHIROPRACTIC AND REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "GESKE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-310-7177",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Round Rock Chiropractic and Rehabilitation, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.